Community Residence, Inc. in Ballwin - Adult Care Home
Community Residence, Inc. - NPI 1518964006
Community Residence, Inc. is a Adult Care Home in Ballwin, Missouri. Community Residence, Inc. practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Community Residence, Inc. is 1518964006. The last update date is 2020-08-22.
Community Residence, Inc.'s current location address is 312 Solley Dr, Ballwin, Missouri. You can contact this provider via phone number 6363943000 and fax number 6363947713. The mailing address for Community Residence, Inc. is 312 Solley Dr, Ballwin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Residence, Inc. |
|---|---|
| Address | 312 Solley Dr, Ballwin, Missouri |
| Phone Number | 6363943000 |
| Fax Number | 6363947713 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Giardina James |
| Telephone Number | 6363943000 |
NPI Number Detail
| NPI Number | 1518964006 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 312 Solley Dr |
|---|---|
| City | Ballwin |
| State | Missouri (MO) |
| Post Code | 630215248 |
| Phone Number | 6363943000 |
| Fax Number | 6363947713 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | 30959 |
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Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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What is the unique identifier code issued to Community Residence, Inc. by the Centers for Medicare & Medicaid Services?
The Community Residence, Inc. has been assigned the NPI (National Provider Identifier) 1518964006. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Community Residence, Inc.?
The Community Residence, Inc. is situated at 312 Solley Dr, in the city of Ballwin, state of MO, with the zip code 630215248.
What is Community Residence, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Community Residence, Inc. is Adult Care Home, and the corresponding taxonomy classification code for this specialized field is 311Za0620X.
When did the Community Residence, Inc. receive its 1518964006?
The Community Residence, Inc. was issued its 1518964006 on 2005-06-30, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Community Residence, Inc. most recently updated or revised?
The information pertaining to Community Residence, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.